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目的:探讨完善流程管理对减少妇产科医疗缺陷发生率的效果,为提高妇产科医疗质量提供参考。方法:医院妇产科从2015年3月开始完善流程管理,对妇产科进行质量管理,从接诊、诊断、治疗、出院医嘱等流程进行梳理,统计医疗缺陷,从流程合理性、科学性、可执行性方面分析产生的原因,完善流程,组织相关人员学习并执行。将2014年9月~2015年2月设置为对照时段,将2015年3~9月设置为观察时段,院质控部门采用医疗缺陷判定标准每个月对妇产科医疗缺陷项进行检查,按照轻度、中度、重度医疗缺陷分别统计两组的医疗缺陷项目数量并比较。结果:观察时段共检查出轻度医疗缺陷25项,中度医疗缺陷11项,重度医疗缺陷1项。对照时段共检查出轻度医疗缺陷47项,中度医疗缺陷25项,重度医疗缺陷5项。观察时段轻、中、重度医疗缺陷比率均明显少于对照时段(P<0.05)。结论:完善流程管理可有效降低妇产科医疗缺陷发生率,降低医疗纠纷。
OBJECTIVE: To explore the effect of perfecting process management to reduce the incidence of obstetrics and gynecology defects, and to provide reference for improving the quality of obstetrics and gynecology. Methods: The obstetrics and gynecology department of the hospital started to improve the process management and quality control of the department of gynecology and obstetrics from March 2015, combing from the procedures of admissions, diagnosis, treatment and discharge of doctor’s orders, etc., and calculated the medical defects, from the rationality of processes and scientific , Enforceability analysis of the causes, improve the process, organize relevant personnel to learn and implement. From September 2014 to February 2015 was set as the control period, from March to September 2015 as the observation period, hospital quality control department using medical defects to determine the criteria for obstetrics and gynecology medical defects every month to check, according to Mild, Moderate, Severe Medical Deficiencies Statistics were made on the number of medical defects in each group and compared. Results: During the observation period, there were 25 mild medical defects, 11 moderate medical defects and 1 severe medical defect. During the control period, 47 mild medical defects, 25 moderate medical defects and 5 severe medical defects were detected. During the observation period, the rates of mild, moderate and severe medical defects were significantly less than those in the control period (P <0.05). Conclusion: Improve the process management can effectively reduce the incidence of obstetrics and gynecology medical defects and reduce medical disputes.